=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700695004
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SO TO SPEAK SPEECH AND LANGUAGE THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2025
-----------------------------------------------------
Last Update Date | 07/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 33 WILLIAM ST
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13021-3894
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-760-4001
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 35 FENNELL ST
-----------------------------------------------------
City | SKANEATELES
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13152-1185
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-406-8753
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH LANGUAGE PATHOLOGIST
-----------------------------------------------------
Name | MRS. ASHLEY CROSBY
-----------------------------------------------------
Credential | MS, CCC-SLP
-----------------------------------------------------
Telephone | 315-406-8753
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------